Here is “somewhat” of an immediate load case. Patient has a number of non restorable teeth including one Implant on #24. Removed the rest of the teeth and removed the implant crown and placed a healing abutment. Later placed a GPS attachment after a few months of healing for an “All On One” Overdenture.
Got the patient into a full lower and made two duplicates. One was attached to the SICAT bite plate and the other will be used as an occlusal rim.
The denture was scanned with the Omnicam using version CEREC 4.3. Just a little margin enough to get some sort of proposal so we could output it.
As the radiographic guide was a copy of the denture this match up the same way we match up partially edentulous .SSI files with teeth in the 3D Pan.
You can really see what a difference it makes in the plan. Its hard to see but my left stabilization pin is off the flange.
Patient is ready to roll. Stabilized the guide with 3 pins to hold it down. Nice stable ridge.
As the patient had one RePlant implant I wanted to keep everything the same. That being said, with the angulation of #24 we may end up using it just for support. I also like to keep the length and width constant with my implants when doing multiples just to not worry about over or under drilling. All implants were 4.2 by 13mm.
Tried to make a verification jig in the mouth. Lets just say its easier on a model, LOL. Open tray impression just using long screws and the RePlant mounts. Got a good model that can be used as the final model after healing.
Took about a week to modify the patient denture on the model. Tissue really grew over. Used the DEKA laser to uncover really quickly.
Pretty easy delivery. Had to use a lot more Teflon tape. Patient will be back in 3 months to start the process for a lower hybrid.